Liabilities / Assets
95th percentile
Higher debt load relative to assets than 95% of similar nonprofits.
EIN 46-1111822 • 501(c)3 • Toledo, OH
Profile
As an integral part of promedica health system, inc., we will be the premier community-based management services organization and provider of related healthcare services for northwest ohio/southeast michigan, offering quality, cost-effective, efficient, and value-added services to achieve superior patient satisfaction and a financially viable network of physicians supporting the medical needs of the community.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
95th percentile
Higher debt load relative to assets than 95% of similar nonprofits.
Liabilities / Revenue
57th percentile
Higher debt load relative to revenue than 57% of similar nonprofits.
Net Margin
5th percentile
Higher net margin than 5% of similar nonprofits.
Top Officer Pay
99th percentile
Higher top officer pay than 99% of similar nonprofits.
Top officer pay equals 16.4% of source-year revenue.
Asset Growth
16th percentile
Faster asset growth than 16% of similar nonprofits.
Revenue Growth
11th percentile
Faster revenue growth than 11% of similar nonprofits.
Assets
Down$5,469,411
Down $351,597 (-6.0%) from 2023
Liabilities
Down$5,674,437
Down $1,288,312 (-19%) from 2023
Net Assets
Up-$205,026
Up $936,715 (+82%) from 2023
Revenue
Down$19,103,083
Down $5,779,049 (-23%) from 2023
Expenses
Down$29,580,207
Down $4,874,964 (-14%) from 2023
Net Income
Down-$10,477,124
Down $904,085 (-9.4%) from 2023
Most recent year
2024 • Form 990Detailed filing. Detailed filing data is available for this year.
As an integral part of promedica health system, inc., we will be the premier community-based management services organization and provider of related healthcare services for northwest ohio/sourtheast michigan, offering quality, cost-effective, efficient, and value-added services to achieve superior patient satisfaction and a financially viable network of physicians supporting the medical needs of the community.
Promedica monroe physicians is part of the physician services component of promedica health system, inc.'s integrated delivery system and provides services to improve the health care of the community in an efficient and cost-effective manner.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Land, Buildings, and Equipment, Net | $1,570,089 | $1,401,080 | ▼ $169,009 |
| Accounts Receivable | $804,561 | $1,094,576 | ▲ $290,015 |
| Prepaid Expenses and Deferred Charges | $853,656 | $349,895 | ▼ $503,761 |
| Intangible Assets | $24,663 | $42,050 | ▲ $17,387 |
| Cash and Non-Interest-Bearing Accounts | $-450 | $0 | ▲ $450 |
| Total Assets | $4,268,015 | $5,469,411 | ▲ $1,201,396 |
| Other Assets Total | $1,015,496 | $2,581,810 | ▲ $1,566,314 |
| Liabilities | |||
| Other Liabilities | $5,296,590 | $4,113,091 | ▼ $1,183,499 |
| Accounts Payable and Accrued Expenses | $113,166 | $1,561,346 | ▲ $1,448,180 |
| Total Liabilities | $5,409,756 | $5,674,437 | ▲ $264,681 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $-1,141,741 | $-205,026 | ▲ $936,715 |
| Total Net Assets Fund Balance | $-1,141,741 | $-205,026 | ▲ $936,715 |
| Total Liabilities and Net Assets / Fund Balance | $4,268,015 | $5,469,411 | ▲ $1,201,396 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Buildings | $1,004,774 | $91,343 | $1,096,117 |
| Leasehold Improvements | $243,952 | $187,359 | $431,311 |
| Equipment | $119,734 | $240,622 | $360,356 |
| Other Land Buildings | $32,620 | - | $32,620 |
| Other Assets Org | $2,334,648 | - | - |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Andrew Assenmacher | Physician | FT | $916,346 | $575,370 | $1,491,716 |
| Mark Zekaj | Physician | FT | $795,114 | $434,538 | $1,229,652 |
| Douglas Iddings | Physician | FT | $536,536 | $183,436 | $719,972 |
| Murthy Madhira | Physician | FT | $627,462 | $43,440 | $670,902 |
| Michael Charboneau | Physician | FT | $626,545 | $32,965 | $659,510 |
| Lisa Hawker | Chairperson | - | - | $65,000 | $65,000 |
| Bob Laclair | Trustee | - | - | $42,500 | $42,500 |
| Name | Title |
|---|---|
| Kent Bishop | Trustee/ President - Ppg/CMO |
| Amanda Kissner | Trustee |
| Barry Luse | Trustee |
| Dave Snavely | Trustee |
| Donald Crescenzo | Trustee |
| James Brennan | Trustee |
| Kristine Brenner | Trustee |
| Linda Thiel | Trustee |
| Marcy Brown | Trustee |
| Mike Adams | Trustee |
| Nancy Kabat | Trustee |
| Arturo Polizzi | Trustee/CEO |
| Dawn Buskey | Trustee/chief Acute Care Officer |
| Kathleen Merrill | Trustee/chief Marketing Officer |
| Victor Cherfan | Trustee/physician - Part Year |
| Stephen Sadowski | Secretary/chief Legal Officer |
| Terrence Metzger | Treasurer/CFO |
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $24,170,132 |
| Other Expenses | $5,410,075 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $21,421,103 | - | - | $21,421,103 |
| Other Employee Benefits | $1,672,755 | - | - | $1,672,755 |
| Fees for Services Other | $1,536,324 | - | - | $1,536,324 |
| Payroll Taxes | $1,076,274 | - | - | $1,076,274 |
| Occupancy | $635,631 | - | - | $635,631 |
| Insurance | $570,251 | - | - | $570,251 |
| Depreciation Depletion | $214,169 | - | - | $214,169 |
| Other Expenses | $176,354 | - | - | $176,354 |
| All Other Expenses | $106,349 | - | - | $106,349 |
| Office Expenses | $43,148 | - | - | $43,148 |
| Travel | $37,231 | - | - | $37,231 |
| Information Technology | $3,119 | - | - | $3,119 |
| Advertising | $759 | - | - | $759 |
| Interest | $411 | - | - | $411 |
| Total Functional Expenses | $29,580,207 | $0 | $0 | $29,580,207 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Interested Party | Relationship | Description | Shared Revenue | Amount |
|---|---|---|---|---|
| Maura Crescenzo | Family Member of Donald Crescenzo (board Member) | Employment | No | $48,275 |
| Liability | Amount |
|---|---|
| Lease Liabilities | $2,355,808 |
| Accrued Wages | $1,757,283 |
“As a michigan non-profit organization, this corporation has a corporate member.”
“Promedica health system, inc. (phs) is the sole member of promedica physician group, inc. Which is the sole member of promedica monroe physicians. Phs has the right to (a) elect and remove the members of the board of trustees of promedica monroe physicians, and (b) fill any vacancy.”
“While the board of trustees of each business unit is granted certain powers with respect to such business unit's operations, as the member, promedica health system, inc. Retains approval rights with respect to certain corporate actions such as (i) adoption of the business unit's strategic plans and financial plans, (ii) expenditures for non-budgeted items in excess of certain dollar limits set from time to time by the member, (iii) expenditures for items which are included in the business unit's annual budgets but which exceed the budgeted amount by an amount in excess of certain dollar limits set from time to time by the member, (iv) incurrence, assumption or guarantee of any indebtedness, (v) sale, lease or other disposition of real property or assets with a value in excess of certain dollar limits set from time to time by the member and (vi) any merger, consolidation, reorganization, dissolution or liquidation.”
“The return is reviewed by management before being provided to the board of trustees prior to filing. Any comments or questions from the board are reviewed and incorporated into the return if appropriate. Final returns are provided to a principal officer for signature prior to filing with the internal revenue service.”
“Promedica health system, inc. And affiliates (phs) have standards of conduct that apply to all phs board members and employees. Board members and employees are expected to certify their compliance with the applicable standards prior to election/appointment or prior to beginning employment. Board members annually (or immediately if new potential conflicts of interest arise), all board members are required to complete and return the board member soc survey within 30 days of dissemination. Board member soc surveys are reviewed by the v.p., audit & compliance/chief compliance officer (cco). Summarized information is forwarded for review to the chief financial officer, general counsel, business unit presidents and the president and chief executive officer (president/ceo), based upon their respective knowledge of the board members. The purpose of this review is to both inform management of the disclosed conflicts and to allow them to identify to the v.p., audit & compliance, any potential undisclosed conflicts. The audit & compliance department then conducts an audit of all board member soc surveys (along with any relationships noted through the above review) to identify any positional conflicts of interest and to test material transactions with board members/their affiliates for fair market value. The results of the audit are reported directly to the chair of the audit & compliance committee with a copy to the president/ceo. The report includes a summary of the audit procedures performed, any significant concerns identified, and their resolution. Any unresolved conflicts are addressed by the audit committee with recommendations to the full board as needed. Failure to complete the survey or the submission of a false or incomplete survey, or failure to disclose immediately any new conflicts of interest that may arise, or failure to cooperate without condition, honestly and completely with any investigation or review of the board member's survey results or his/her actions or circumstances shall be grounds for sanction by the board of trustees up to and including removal from the board/committee/council. Employees, excluding employed providers annually (or immediately if new conflicts of interest arise), all bonus-eligible senior leadership and specifically identified additional employees, are required to complete and submit an electronic employee certification questionnaire by an established deadline that is communicated to the employee. The human resources department ensures that all questionnaires, which are stored electronically, are completed and provides notification to the v.p., audit & compliance of the number of annual employee certification questionnaires sent and received and copies of any questionnaires containing disclosures that warrant further review by the audit & compliance department. All new employees, excluding employed providers, are provided either an electronic or paper copy of the employee standard of conduct and the employee certification statement which the new employee is required to complete prior to beginning employment. The audit & compliance department has access to a report that identifies all new hires. A sample of employees is identified and an audit is conducted to ensure that required documentation is on file. Identified conflicts are initially reviewed by the v.p., audit & compliance and if necessary discussed with the business unit president in which the employee works, the chief human resource officer, and general counsel. If the conflict is considered a significant exposure risk for phs, a recommendation will be prepared for final approval of the phs president/ceo. Results of the employee process audit are included in the above report to the chair of the audit & compliance committee. Failure to complete the certification questionnaire, or the completion of a false or incomplete certification questionnaire, or failure to disclose immediately any new conflicts of interest that may arise, or failure”
“Promedica monroe physicians' top management official and other officers are compensated by promedica health system, inc. (phs), a related tax-exempt organization. Compensation determinations of promedica monroe physicians' top management official and other officers are made by a compensation committee of phs. Each year independent consultants conduct an annual survey and recommend executive payroll base salary ranges based upon the market. The data is reviewed and approved by the promedica health system compensation committee every october. Salary adjustments are determined at the december meeting of the compensation committee. The compensation committee approves other forms of compensation based upon the prior year performance at the january meeting each year.”
“Promedica health system, inc. And subsidiaries provide any document open to public inspection upon request.”
“Promedica health system processes all accounts payable through one pay company, promedica health system, inc. The independent contractors over $100,000 will be listed on the 990 filed for promedica health system, inc. Fein 34-1517671.”
“The promedica health system processes all accounts payable through one pay company. All 1099 forms for promedica health system, inc. And subsidiaries are filed under promedica health system, inc. Fein 34-1517671.”
“Transfer between related entities 11,413,839.”
“The process has not changed from the prior year.”
This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
| Path | # | Value |
|---|---|---|
| IRS990/AccountantCompileOrReviewInd | 0 | 0 |
| IRS990/AccountsPayableAccrExpnssGrp/BOYAmt | 0 | 113166 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 1561346 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 804561 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 1094576 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | 0 |
| IRS990/ActivityOrMissionDesc | 0 | PROMEDICA MONROE PHYSICIANS IS PART OF THE PHYSICIAN SERVICES COMPONENT OF PROMEDICA HEALTH SYSTEM, INC.'S INTEGRATED DELIVERY SYSTEM AND PROVIDES SERVICES TO IMPROVE THE HEALTH CARE OF THE COMMUNITY IN AN EFFICIENT AND COST-EFFECTIVE MANNER. |
| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 759 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 759 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 106349 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 106349 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | 1 |
| IRS990/AuditCommitteeInd | 0 | 1 |
| IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt | 0 | TERRENCE METZGER |
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| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 100 MADISON AVE |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | TOLEDO |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | OH |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 43604 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | 0 |
| IRS990/BusinessRlnWithFamMemInd | 0 | 1 |
| IRS990/BusinessRlnWithOrgMemInd | 0 | 0 |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | -450 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 0 |
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| IRS990/CompensationProcessOtherInd | 0 | 0 |
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| IRS990/CYOtherRevenueAmt | 0 | 2678 |
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| IRS990/CYRevenuesLessExpensesAmt | 0 | -10477124 |
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| IRS990/CYTotalExpensesAmt | 0 | 29580207 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 19103083 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | 1 |
| IRS990/DeductibleArtContributionInd | 0 | 0 |
| IRS990/DeductibleNonCashContriInd | 0 | 0 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | 0 |
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| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 214169 |
| IRS990/Desc | 0 | SERVING INDIVIDUALS AND FAMILIES IN NORTHWEST OHIO AND SOUTHEAST MICHIGAN, PROMEDICA MULTI SPECIALTY PHYSICIANS, A SUBSIDIARY OF PROMEDICA PHYSICIAN GROUP (PPG), OFFERS A LARGE SELECTION OF PHYSICIANS AND ADVANCED PRACTICE PROVIDERS WHO PROVIDE MEDICAL CARE AND OTHER HEALTHCARE SERVICES VIA AN INTEGRATED APPROACH THROUGH WHICH THEY COLLABORATE WITH OTHER PROVIDERS. THIS INTEGRATED DELIVERY IS MORE COST-EFFECTIVE THAN TRADITIONAL DELIVERY SYSTEMS AND HELPS TO ENSURE PATIENTS HAVE BETTER ACCESS TO CARE IN THE MOST APPROPRIATE SETTING. PPG AND ITS SUBSIDIARIES ARE PART OF PROMEDICA HEALTH SYSTEM, INC. (PROMEDICA), A MISSION-BASED, LOCALLY OWNED, NONPROFIT HEALTHCARE ORGANIZATION HIGHLY FOCUSED ON ACHIEVING CORE VALUES. HEADQUARTERED IN TOLEDO, OHIO, PROMEDICA SERVES 17 STATES ACROSS THE COUNTRY AND IS ONE OF THE NATION'S LEADING HEALTH SYSTEMS. OUR STEWARDSHIP OF RESOURCES HAS ENABLED US TO WISELY INVEST IN PATIENT-CENTERED CARE, ADVANCED TECHNOLOGY, INNOVATIVE PROGRAMS, AND FAMILY-ORIENTED FACILITIES THAT HELP TO ENSURE PATIENTS AND AREA RESIDENTS HAVE EQUAL ACCESS TO HIGH-QUALITY, SAFE CARE IN THE MOST APPROPRIATE SETTING, REGARDLESS OF PATIENTS' ABILITY TO PAY. PPG'S WELL-EQUIPPED PROVIDER FACILITIES ARE LOCATED IN APPROXIMATELY 220 LOCATIONS, AND ITS NETWORK IS COMPRISED OF MORE THAN 1300 HEALTHCARE PROVIDERS CERTIFIED IN MORE THAN 50 SPECIALTIES, INCLUDING ANESTHESIOLOGY, BARIATRICS, CARDIOLOGY, CRITICAL CARE, ENT, FAMILY MEDICINE, GASTROENTEROLOGY, GENERAL SURGERY, HEMATOLOGY-ONCOLOGY, HOSPITALISTS, INTERNAL MEDICINE, NEUROLOGY AND NEUROSURGERY, OBSTETRICS/GYNECOLOGY, OCCUPATIONAL MEDICINE, OPHTHALMOLOGY, ORTHOPAEDIC SURGERY, PEDIATRIC CARDIOLOGY, PEDIATRIC CRITICAL CARE MEDICINE, PEDIATRICS, PSYCHIATRY, SPORTS CARE, SURGICAL ONCOLOGY, UROLOGY, AND VASCULAR MEDICINE. PPG CONDUCTED APPROXIMATELY 2.7 MILLION PATIENT ENCOUNTERS IN 2024. ADDITIONALLY, PPG PRIMARY CARE PRACTICES NOW SCREEN FOR 6 DIFFERENT SOCIAL DETERMINANTS SCREENS FOR AREAS SUCH AS FOOD INSECURITY, FINANCIAL STRAIN, HOUSING, TRANSPORTATION, INTERPERSONAL VIOLENCE, AND UTILITIES. PATIENTS SCREENING POSITIVE ARE CONNECTED TO COMMUNITY RESOURCES TO IMPROVE HEALTH AND WELL-BEING. PROMEDICA MULTI SPECIALTY PHYSICIANS PROVIDED A SIGNIFICANT AMOUNT OF FINANCIAL ASSISTANCE TO THE COMMUNITY DURING 2024, OF WHICH $401,000. REPRESENTED UNCOMPENSATED AMOUNTS FOR TREATMENT OF PATIENTS WHO DID NOT HAVE THE FINANCIAL RESOURCES TO PAY FOR HOSPITAL SERVICES. FINANCIAL ASSISTANCE REPRESENTS THE COST TO PROVIDE SERVICE AND DOES NOT INCLUDE THE COSTS FOR ACCOUNTS WRITTEN OFF TO BAD DEBT FOR PATIENTS WHO DO NOT PAY THEIR BILLS. ITS COST OF BAD DEBT FOR 2024 TOTALED $858,000. DURING 2024, PROMEDICA MULTI SPECIALTY PHYSICIANS EXPENDED $33,582,000 IN NET PAYROLL, PROVIDING 138 JOBS. A TOTAL OF $1,460,000 WAS WITHHELD FROM EMPLOYEES IN STATE AND LOCAL TAXES.IN SUMMARY, PPG AND ITS SUBSIDIARIES DEMONSTRATE THEIR MISSION AND CORE VALUES BY PROVIDING HIGH-QUALITY HEALTH CARE TO ALL PATIENTS, REGARDLESS OF THEIR RACE, CREED, SEX, NATIONAL ORIGIN, DISABILITY OR AGE. AND, WE RECOGNIZE THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL CARE. THEREFORE, PROMEDICA PROVIDES THESE HEALTHCARE SERVICES; RECRUITS AND TRAINS HEALTHCARE PROFESSIONALS TO SERVE THE BROADER COMMUNITY; PROVIDES APPROPRIATE FINANCIAL ASSISTANCE; OFFERS SERVICES AND CONTRIBUTIONS TO OTHER NONPROFIT ORGANIZATIONS THAT ALLOW THEM TO PROVIDE KEY SERVICES TO THEIR CONSTITUENTS; AND PRESENTS FREE EDUCATIONAL CLASSES, HEALTH FAIRS AND OTHER ACTIVITIES TO OUR LOCAL COMMUNITY TO HELP ENSURE ALL MEMBERS HAVE EQUAL ACCESS TO CARE. |
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| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 17 | 54.00 |
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| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 23 | 45.00 |
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| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 2 | X |
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| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 7 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 8 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 9 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 10 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 11 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 12 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 13 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 14 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 15 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 16 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 14012 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 12669 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 9094 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 14772 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 13389 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 17 | 6038 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 18 | 6610 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 19 | 3789 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 20 | 14360 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 21 | 13855 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 22 | 18153 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 23 | 7107 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | MIKE ADAMS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | LINDA THIEL |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | DAVE SNAVELY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | ARTURO POLIZZI |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | KATHLEEN MERRILL |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | BARRY LUSE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | BOB LACLAIR |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | AMANDA KISSNER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | NANCY KABAT |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | LISA HAWKER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | DONALD CRESCENZO |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | VICTOR CHERFAN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | DAWN BUSKEY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | MARCY BROWN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | KRISTINE BRENNER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | JAMES BRENNAN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | KENT BISHOP |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | STEPHEN SADOWSKI |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 18 | TERRENCE METZGER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 19 | DOUGLAS IDDINGS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 20 | MARK ZEKAJ |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 21 | ANDREW ASSENMACHER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 22 | MURTHY MADHIRA |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 23 | MICHAEL CHARBONEAU |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 19 | 716183 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 20 | 1215292 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 21 | 1477861 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 22 | 652749 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 23 | 652403 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 3119320 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 528138 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 42500 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 9 | 65000 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 11 | 625202 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 12 | 1340164 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 16 | 1452904 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 17 | 1180376 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 18 | 1209318 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 19 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 20 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 21 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 22 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 23 | 0 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | TRUSTEE/CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | TRUSTEE/CHIEF MARKETING OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | CHAIRPERSON |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | TRUSTEE/PHYSICIAN - PART YEAR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | TRUSTEE/CHIEF ACUTE CARE OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | TRUSTEE/ PRESIDENT - PPG/CMO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | SECRETARY/CHIEF LEGAL OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 18 | TREASURER/CFO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 19 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 20 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 21 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 22 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 23 | PHYSICIAN |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 1 |
| IRS990/FormationYr | 0 | 2012 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 0 |
| IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | 1 |
| IRS990/FundraisingActivitiesInd | 0 | 0 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 16 |
| IRS990/GrantAmt | 0 | 0 |
| IRS990/GrantsToIndividualsInd | 0 | 0 |
| IRS990/GrantsToOrganizationsInd | 0 | 0 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossReceiptsAmt | 0 | 19103083 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 0 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 0 |
| IRS990/IndependentVotingMemberCnt | 0 | 10 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 49 |
| IRS990/IndoorTanningServicesInd | 0 | 0 |
| IRS990/InfoInScheduleOPartIIIInd | 0 | X |
| IRS990/InfoInScheduleOPartVIIInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartVInd | 0 | X |
| IRS990/InfoInScheduleOPartXIIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIInd | 0 | X |
| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 3119 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 3119 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 570251 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 570251 |
| IRS990/IntangibleAssetsGrp/BOYAmt | 0 | 24663 |
| IRS990/IntangibleAssetsGrp/EOYAmt | 0 | 42050 |
| IRS990/InterestGrp/ProgramServicesAmt | 0 | 411 |
| IRS990/InterestGrp/TotalAmt | 0 | 411 |
| IRS990/InvestmentInJointVentureInd | 0 | 0 |
| IRS990/IRPDocumentCnt | 0 | 0 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 519324 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 1570089 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 1401080 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 1920404 |
| IRS990/LegalDomicileStateCd | 0 | MI |
| IRS990/LoanOutstandingInd | 0 | 0 |
| IRS990/LobbyingActivitiesInd | 0 | 0 |
| IRS990/LocalChaptersInd | 0 | 1 |
| IRS990/MaterialDiversionOrMisuseInd | 0 | 0 |
| IRS990/MembersOrStockholdersInd | 0 | 1 |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | 1 |
| IRS990/MinutesOfGoverningBodyInd | 0 | 1 |
| IRS990/MissionDesc | 0 | AS AN INTEGRAL PART OF PROMEDICA HEALTH SYSTEM, INC., WE WILL BE THE PREMIER COMMUNITY-BASED MANAGEMENT SERVICES ORGANIZATION AND PROVIDER OF RELATED HEALTHCARE SERVICES FOR NORTHWEST OHIO/SOUTHEAST MICHIGAN, OFFERING QUALITY, COST-EFFECTIVE, EFFICIENT, AND VALUE-ADDED SERVICES TO ACHIEVE SUPERIOR PATIENT SATISFACTION AND A FINANCIALLY VIABLE NETWORK OF PHYSICIANS SUPPORTING THE MEDICAL NEEDS OF THE COMMUNITY. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | 0 |
| IRS990/MoreThan5000KToOrgInd | 0 | 0 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | -1141741 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | -205026 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 0 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | -1141741 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | -205026 |
| IRS990/NondeductibleContributionsInd | 0 | 0 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 635631 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 635631 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 43148 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 43148 |
| IRS990/OfficerMailingAddressInd | 0 | 0 |
| IRS990/OperateHospitalInd | 0 | 0 |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsFASB117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 1015496 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 2581810 |
| IRS990/OtherChangesInNetAssetsAmt | 0 | 11413839 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 1672755 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 1672755 |
| IRS990/OtherExpensesGrp/Desc | 0 | DRUGS |
| IRS990/OtherExpensesGrp/Desc | 1 | INTERCOMPANY SERVICES |
| IRS990/OtherExpensesGrp/Desc | 2 | BAD DEBT EXPENSE |
| IRS990/OtherExpensesGrp/Desc | 3 | MEDICAL SUPPLIES |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 854820 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 762105 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 2 | 469404 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 3 | 176354 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 854820 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 762105 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 469404 |
| IRS990/OtherExpensesGrp/TotalAmt | 3 | 176354 |
| IRS990/OtherLiabilitiesGrp/BOYAmt | 0 | 5296590 |
| IRS990/OtherLiabilitiesGrp/EOYAmt | 0 | 4113091 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 0 | 900099 |
| IRS990/OtherRevenueMiscGrp/Desc | 0 | AUXILIARY DEPARTMENTAL |
| IRS990/OtherRevenueMiscGrp/ExclusionAmt | 0 | 2678 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 0 | 2678 |
| IRS990/OtherRevenueTotalAmt | 0 | 2678 |
| IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt | 0 | 21421103 |
| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 21421103 |
| IRS990/PartialLiquidationInd | 0 | 0 |
| IRS990/PayPremiumsPrsnlBnftCntrctInd | 0 | 0 |
| IRS990/PayrollTaxesGrp/ProgramServicesAmt | 0 | 1076274 |
| IRS990/PayrollTaxesGrp/TotalAmt | 0 | 1076274 |
| IRS990/PoliciesReferenceChaptersInd | 0 | 1 |
| IRS990/PoliticalCampaignActyInd | 0 | 0 |
| IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt | 0 | 853656 |
| IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt | 0 | 349895 |
| IRS990/PrincipalOfficerNm | 0 | TERRENCE METZGER |
| IRS990/ProfessionalFundraisingInd | 0 | 0 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 0 | 900099 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 1 | 900099 |
| IRS990/ProgramServiceRevenueGrp/Desc | 0 | NET PATIENT SERVICES |
| IRS990/ProgramServiceRevenueGrp/Desc | 1 | PHYSICIAN SPECIALIST |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 15436439 |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 1 | 3663966 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 0 | 15436439 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 1 | 3663966 |
| IRS990/ProhibitedTaxShelterTransInd | 0 | 0 |
| IRS990/PYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/PYContributionsGrantsAmt | 0 | 0 |
| IRS990/PYExcessBenefitTransInd | 0 | 0 |
| IRS990/PYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/PYInvestmentIncomeAmt | 0 | 0 |
| IRS990/PYOtherExpensesAmt | 0 | 8140195 |
| IRS990/PYOtherRevenueAmt | 0 | 10940 |
| IRS990/PYProgramServiceRevenueAmt | 0 | 24871192 |
| IRS990/PYRevenuesLessExpensesAmt | 0 | -9573039 |
| IRS990/PYSalariesCompEmpBnftPaidAmt | 0 | 26314976 |
| IRS990/PYTotalExpensesAmt | 0 | 34455171 |
| IRS990/PYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/PYTotalRevenueAmt | 0 | 24882132 |
| IRS990/QuidProQuoContributionsInd | 0 | 0 |
| IRS990/RcvFndsToPayPrsnlBnftCntrctInd | 0 | 0 |
| IRS990/ReconcilationRevenueExpnssAmt | 0 | -10477124 |
| IRS990/RegularMonitoringEnfrcInd | 0 | 1 |
| IRS990/RelatedEntityInd | 0 | 1 |
| IRS990/RelatedOrganizationCtrlEntInd | 0 | 0 |
| IRS990/ReportInvestmentsOtherSecInd | 0 | 0 |
| IRS990/ReportLandBuildingEquipmentInd | 0 | 1 |
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